目的 探讨对临床护理人员实施疼痛培训对其疼痛知识和态度的影响。方法 选取北京某三级甲等医院55名护理人员为研究对象,采用自身前后对照类实验研究,运用“疼痛知识和态度调查问卷(KASRP)”,对其疼痛培训前后相关数据进行比较,评价疼痛培训对临床护理人员的疼痛知识和态度的影响。结果 培训前,临床护理人员疼痛知识和态度总评分中位数为[20(18,24)]分,及格人数占比仅为25.5%(14/55);培训后,临床护理人员疼痛知识和态度总评分中位数为[22(21,25)]分,及格人数占比上升为47.3%(26/55);培训前后差异具有统计学意义(P<0.001)。培训前后临床护理人员疼痛知识和态度调查问卷各维度评分,除了“综合应用”维度之外,其他维度评分差异均具有统计学意义(均P<0.001)。结论 疼痛培训的实施对于提高临床护理人员疼痛知识水平、改善临床护理人员疼痛态度具有正向作用。未来需要针对不同科室专业特色,全面开展临床护理人员疼痛培训,以进一步提高其疼痛知识和态度,从而提高护理质量。
关键词：
疼痛; 培训; 护理人员; 效果; 评价
Objective To explore the effect of pain training on pain management knowledge, attitude and behavior of clinical nurses. Methods The data of 55 nurses before and after pain training in Beijing grade A tertiary hospital were collected by using “Pain Knowledge and Attitude Questionnaire (KASRP)” with self-controlled design to evaluate the effect of clinical nurses' pain assessment pain management knowledge and attitude. Results The median of pain management knowledge and attitude of nurses before the training was [20(18,24)] and only 25.5% (14/55) of the total nurses passed the training. The median was [22(21,25)]. The number of passers-by rose from 14 to 26, accounting for 47.3% (26/55) of the total number of trainees. The difference was statistically significant before and after training (P<0.001). The scores of each dimension of the pain knowledge and belief questionnaire before and after training were statistically significant (all P<0.001) except for the dimension of “comprehensive drug use”. Conclusions The implementation of pain training has a positive effect on improving the knowledge level and attitude of clinical nurses. In the future, comprehensive pain training should be carried out according to the specialty characteristics of different departments to further strengthen the pain knowledge, skills and attitude of clinical nursing staff, so as to improve the quality of nursing.
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